Individual
HADI ATASSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9030 COLUMBIA AVE STE B, MUNSTER, IN 46321-2905
(219) 836-6002
(219) 836-6003
Mailing address
9030 COLUMBIA AVE STE B, MUNSTER, IN 46321-2905
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
02007039A
IN
207RG0100X
Gastroenterology Physician
04701
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300014901
—
IN
Enumeration date
03/26/2016
Last updated
07/12/2023
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